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Midodrine hydrochloride

Alias: Midodrine HCl Pro-Amatine Amatine OrvatenMidodrine hydrochloride
Midodrine hydrochloride (Amatine; Orvaten;Midodrine HCl; Pro-Amatine),the hydrochloride salt of midodrine which is aphenylalkanolamine derivative,is a potent adrenergic alpha-1 agonist thathas been found to be able toincrease arterial pressure, thus may beuseful in managing hypotensive conditions owing to their long lasting blood pressure increasing effects.
Midodrine hydrochloride
Midodrine hydrochloride Chemical Structure CAS No.: 43218-56-0
Product category: Adrenergic Receptor
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
100mg
500mg
1g
Other Sizes

Other Forms of Midodrine hydrochloride:

  • Midodrine-d6 hydrochloride
  • Midodrine free base
Official Supplier of:
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Product Description
Midodrine hydrochloride (Amatine; Orvaten; Midodrine HCl; Pro-Amatine), the hydrochloride salt of midodrine which is a phenylalkanolamine derivative, is a potent adrenergic alpha-1 agonist that has been found to be able to increase arterial pressure, thus may be useful in managing hypotensive conditions owing to their long lasting blood pressure increasing effects.
Midodrine hydrochloride is an ethanolamine derivative that acts as an adrenergic alpha-1 agonist. It is used as a vasoconstrictor agent in the treatment of hypotension, including orthostatic hypotension and dysautonomia. Midodrine hydrochloride has the molecular formula C12H19ClN2O4 and a molecular weight of 290.74. It is a prodrug that is converted to its active metabolite, desglymidodrine, which is responsible for its vasopressor effects.
Biological Activity I Assay Protocols (From Reference)
Targets
Midodrine targets the α1-adrenergic receptor as a selective agonist. α1-adrenergic receptors are G protein-coupled receptors located on vascular smooth muscle cells. Activation of these receptors by midodrine's active metabolite leads to vasoconstriction, increased peripheral vascular resistance, and elevation of blood pressure. Midodrine is a prodrug of the α1-adrenergic receptor agonist, 1-(2',5'-dimethoxyphenyl)-2-aminoethanol. It is a direct-acting sympathomimetic drug with selective α-adrenergic agonist activity.
ln Vitro
In vitro, midodrine hydrochloride is characterized as an α1-receptor agonist. The compound's active metabolite, desglymidodrine, binds to and activates α1-adrenergic receptors on vascular smooth muscle, leading to vasoconstriction. Midodrine's selectivity for α1 receptors over α2 receptors contributes to its vasopressor effects with minimal central nervous system stimulation. The compound's in vitro activity has been confirmed in receptor binding and functional assays.
ln Vivo
In vivo, midodrine hydrochloride acts as a peripheral vasoconstrictor to treat hypotensive conditions. It is used clinically for the treatment of dysautonomia and orthostatic hypotension. The drug increases arterial pressure by activating α1-adrenergic receptors in the vasculature, producing an increase in vascular tone and elevation of blood pressure. Midodrine improves clinical outcomes in patients with chronic hypotension. It is administered orally and is well-absorbed.
Enzyme Assay
In non-cell-based receptor binding assays, midodrine's affinity for the α1-adrenergic receptor is evaluated using radioligand competition binding experiments. Membrane preparations from cells expressing recombinant human α1-adrenergic receptors are incubated with a radiolabeled α1-selective ligand and varying concentrations of midodrine or its active metabolite. After incubation, bound and free radioligand are separated, and radioactivity is measured. Competition curves are generated to determine IC50 and Ki values, confirming the compound's α1-adrenergic receptor agonist activity.
Cell Assay
In vitro cellular assays for midodrine involve measuring its agonist activity at the α1-adrenergic receptor in cultured cells. Cells expressing recombinant α1-adrenergic receptors are treated with midodrine or its active metabolite, and receptor activation is assessed by measuring downstream signaling pathways such as calcium mobilization or inositol phosphate accumulation. These functional assays confirm that midodrine's active metabolite acts as an α1-adrenergic receptor agonist.
Animal Protocol
In vivo animal studies for midodrine have been conducted in models of hypotension. The compound is typically administered orally or intravenously, and its effects on blood pressure and vascular tone are measured. Midodrine's ability to increase arterial pressure has been demonstrated in animal models and clinical studies. Detailed protocols and data from specific animal models are limited in publicly available sources but are consistent with its clinical use as a vasopressor.
ADME/Pharmacokinetics
Midodrine hydrochloride is well absorbed after oral administration and is converted to its active metabolite, desglymidodrine, which is responsible for its vasopressor effects. The drug has a relatively short half-life and is eliminated primarily by renal excretion. It is administered multiple times daily to maintain blood pressure control. The compound is soluble in DMSO at 53 mg/mL (182.29 mM). Storage conditions for the powder are -20°C for 3 years.
Toxicity/Toxicokinetics
The most common side effects of midodrine include hypertension (particularly in the supine position), piloerection, urinary retention, and paresthesia. Because it increases blood pressure, it should be used with caution in patients with hypertension, heart failure, or renal impairment. The drug should be administered in a manner that minimizes the risk of supine hypertension. Midodrine should not be used in patients with severe organic heart disease, acute renal disease, or pheochromocytoma.
Additional Infomation
Midodrine hydrochloride is a hydrochloride salt formed by the combination of equimolar amounts of midodrine and hydrogen chloride. Midodrine is a direct-acting sympathomimetic drug with selective α-adrenergic agonist activity. This hydrochloride salt is used as a peripheral vasoconstrictor to treat certain hypotensive conditions. Its main active ingredient is its major metabolite, desglycinedoryidodrine. Desglycinedoryidodrine has the effects of an α-adrenergic agonist, sympathomimetic drug, and vasoconstrictor. It contains midodrine (1+). Midodrine hydrochloride is the hydrochloride form of midodrine, a direct-acting prodrug and sympathomimetic drug with antihypertensive effects. Midodrine is converted to its active metabolite, desglycinedoryidodrine, via a deglycination reaction. Desglycinedoryidodrine selectively binds to and activates α1-adrenergic receptors in arterioles and venules. This leads to smooth muscle contraction, thereby increasing blood pressure. Desglycinedoryidodrine has difficulty crossing the blood-brain barrier and therefore does not affect the central nervous system. It is an ethanolamine derivative, belonging to the α1-adrenergic agonist class. It is used as a vasoconstrictor to treat hypotension. See also: Midordine (containing the active ingredient).
Midodrine hydrochloride is approved for the treatment of orthostatic hypotension and dysautonomia. It is available under various brand names including Amatine, Orvaten, and Pro-Amatine. Midodrine is a prodrug that is converted to its active metabolite, desglymidodrine, which acts as a selective α1-adrenergic receptor agonist. The drug's vasopressor effects are mediated through peripheral vasoconstriction, leading to increased blood pressure. It is a direct-acting sympathomimetic agent.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C12H19CLN2O4
Molecular Weight
290.74
Exact Mass
290.103
CAS #
43218-56-0
Related CAS #
Midodrine-d6 hydrochloride;1188265-43-1;Midodrine;42794-76-3
PubChem CID
18340
Appearance
White to yellow solid powder
Boiling Point
529.9ºC at 760 mmHg
Flash Point
274.3ºC
LogP
1.705
Hydrogen Bond Donor Count
4
Hydrogen Bond Acceptor Count
5
Rotatable Bond Count
6
Heavy Atom Count
19
Complexity
263
Defined Atom Stereocenter Count
0
InChi Key
MGCQZNBCJBRZDT-UHFFFAOYSA-N
InChi Code
InChI=1S/C12H18N2O4.ClH/c1-17-8-3-4-11(18-2)9(5-8)10(15)7-14-12(16)6-13;/h3-5,10,15H,6-7,13H2,1-2H3,(H,14,16);1H
Chemical Name
2-Amino-N-(2-(2,5-dimethoxyphenyl)-2-hydroxyethyl)acetamide monohydrochloride
Synonyms
Midodrine HCl Pro-Amatine Amatine OrvatenMidodrine hydrochloride
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Note: Please store this product in a sealed and protected environment, avoid exposure to moisture.
Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
H2O : ~100 mg/mL (~343.95 mM)
Solubility (In Vivo)
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.

Injection Formulations
(e.g. IP/IV/IM/SC)
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution 50 μL Tween 80 850 μL Saline)
*Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution.
Injection Formulation 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO 400 μLPEG300 50 μL Tween 80 450 μL Saline)
Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO 900 μL Corn oil)
Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals).
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Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO 900 μL (20% SBE-β-CD in saline)]
*Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.
Injection Formulation 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (i.e. 500 μL 2-Hydroxypropyl-β-cyclodextrin 500 μL Saline)
Injection Formulation 6: DMSO : PEG300 : castor oil : Saline = 5 : 10 : 20 : 65 (i.e. 50 μL DMSO 100 μLPEG300 200 μL castor oil 650 μL Saline)
Injection Formulation 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (i.e. 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
Injection Formulation 8: Dissolve in Cremophor/Ethanol (50 : 50), then diluted by Saline
Injection Formulation 9: EtOH : Corn oil = 10 : 90 (i.e. 100 μL EtOH 900 μL Corn oil)
Injection Formulation 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL EtOH 400 μLPEG300 50 μL Tween 80 450 μL Saline)


Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium)
Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose
Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals).
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Oral Formulation 3: Dissolved in PEG400
Oral Formulation 4: Suspend in 0.2% Carboxymethyl cellulose
Oral Formulation 5: Dissolve in 0.25% Tween 80 and 0.5% Carboxymethyl cellulose
Oral Formulation 6: Mixing with food powders


Note: Please be aware that the above formulations are for reference only. InvivoChem strongly recommends customers to read literature methods/protocols carefully before determining which formulation you should use for in vivo studies, as different compounds have different solubility properties and have to be formulated differently.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 3.4395 mL 17.1975 mL 34.3950 mL
5 mM 0.6879 mL 3.4395 mL 6.8790 mL
10 mM 0.3439 mL 1.7197 mL 3.4395 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
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Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
NCT Number Recruitment interventions Conditions Sponsor/Collaborators Start Date Phases
Completed NCT03129542 Drug: Midodrine Hydrochloride 10 milligrams
Drug: Placebo capsule
Blood Pressure
Sepsis
Mayo Clinic 2017-08-30 Phase 1
NCT00650013 Completed Drug: Midodrine HCl Tablets 5 mg
Drug: ProAmatine® Tablets 5 mg
Healthy Mylan Pharmaceuticals Inc 2002-07 Phase 1
NCT00648440 Completed Drug: Midodrine HCl Tablets 5 mg
Drug: ProAmatine® Tablets 5 mg
Healthy Mylan Pharmaceuticals Inc 2002-10 Phase 1
NCT00650364 Completed Drug: Midodrine HCl Tablets 5 mg
Drug: ProAmatine® Tablets 5 mg
Healthy Mylan Pharmaceuticals Inc 2002-08 Phase 1
Completed WITH RESULTS NCT00426842 Drug: Midodrine Hydrochloride Orthostatic Hypotension
Spinal Cord Injury
James J. Peters Veterans Affairs Medical Center 2007-01 Phase 2
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